What does a scarred uterus mean?
Scarred uterus, also known as a uterine scar, generally refers to the presence of post-surgical or traumatic scars within the uterine muscular layer. This condition commonly occurs after cesarean section, myomectomy (removal of uterine fibroids), or surgical repair of uterine perforation. Detailed analysis is as follows:
Due to the disruption of the integrity of the uterine muscle layer, the tissue at the scar site has reduced elasticity and decreased thickness. During subsequent pregnancies, as the fetus grows and the uterus expands, the increased pressure may cause the scar to rupture, leading to serious complications such as severe hemorrhage and fetal distress.
In addition, women with a scarred uterus who become pregnant again may experience implantation of the fertilized egg at the uterine scar site, resulting in a dangerous condition known as scar pregnancy, which increases the risks of miscarriage and massive hemorrhage. Even without pregnancy, a scarred uterus may cause symptoms such as dysmenorrhea and chronic pelvic pain due to issues such as endometriosis at the scar site.
Women with a scarred uterus should pay special attention to contraception. If planning a pregnancy, conception should occur only after a physician has assessed the healing status of the uterine scar. Prenatal care should involve strict and regular check-ups to closely monitor scar thickness and fetal positioning. Delivery should be conducted under medical guidance to select the appropriate mode of birth, avoiding risks of uterine rupture that could endanger both mother and baby.